Form L-4100 - Petition For Change Of Property Classification printable pdf download

Form L-4100 - Petition For Change Of Property Classification

Michgan Department of Treasury, STC

2167 (Rev. 5-99)

Formerly L-4100

PETITION NO.:

PETITION FOR CHANGE OF PROPERTY CLASSIFICATION

Return to:

State Tax Commission

Michigan Department of Treasury

P.O. Box 30471

Lansing, MI 48909-7971

Completion of this form is mandatory under Sections 211.34c and 211.150. Failure to complete this form may

result in the rejection of the petition. Failure to submit this form will result in rejection of the petition.

THIS PETITION IS LIMITED TO PROPERTY CLASSIFICATION DISPUTES. VALUATION OR EXEMPTION QUESTIONS

MUST BE APPEALED TO THE MICHIGAN TAX TRIBUNAL ONLY (MCL 205.735).

DO NOT REPRODUCE THIS PETITION EXCEPT FOR YOUR RECORDS. SIGNATURE REQUIRED.

A. PROPERTY OWNER:

IF REPRESENTED BY ATTORNEY OR AGENT:

NAME _________________________________________

STREET _______________________________________

CITY ____________________________ STATE _______

PHONE NO. _________________ ZIP CODE __________

The property owner or his/her authorized agent hereby files a petition for change of the following described

property classification appearing on the assessment rolls of:

COUNTY OF

CITY OR TOWNSHIP OF

(VILLAGE OF

)

SCHOOL DISTRICT(S)

LEGAL DESCRIPTI0N: List complete legal description and parcel code number.

PROPERTY ADDRESS (Number and Street):

Between

Street and

Street

Date of protest of property classification to the Local Board of Review:

Form L-4100 - Petition For Change Of Property Classification